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NEVADA CRISIS INTERVENTION TEAM NPI 1093303000


NPI Information

NPI: 1093303000
Provider Name: NEVADA CRISIS INTERVENTION TEAM

Doing Business As: NEVADA CRISIS INTERVENTION TEAM

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2406 MOROCCO AVE
N LAS VEGAS, NV
ZIP 89031
Phone: (702) 927-5085
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NEVADA CRISIS INTERVENTION TEAM is a mental health (including community mental health center) clinic center in N Las Vegas, NV. NEVADA CRISIS INTERVENTION TEAM NPI is 1093303000. The provider is registered as an organization entity type.
The provider Is Doing Business As Nevada Crisis Intervention Team.

The provider's business location address is:

2406 MOROCCO AVE
N LAS VEGAS, NV
ZIP 89031-945
Phone: (702) 927-5085

The provider's authorized official is Tenaya Nikara Fennell .
The authorized official title is Ceo and has the following contact phone number (702) 927-5085.

The enumeration date for this NPI number is 1/5/2021 and was last updated on 1/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0002XClinic/CenterEmergency CareNo
2261QP2400XClinic/CenterPrison HealthNo
3310500000XIntermediate Care Facility, Mental IllnessNo
4385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250009391MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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